Joyce Lokonyi sits on an upturned bucket, fingers weaving palm fronds as the wind pulls her dress to expose the stump of her amputated foot, lost to a little-known disease ravaging Kenya’s poorest county.
Mycetoma is a fungal or bacterial infection that enters the body through any open wound, often as tiny as a thorn prick.
Starting as tiny bumps under the skin, it gradually leads to the erosion of tissue, muscles and bone.
The fungal variety is endemic across the so-called “mycetoma belt” — including Somalia, Sudan, Yemen and northern Kenya — with funding and research desperately lacking.
Once the disease has reached the bone the only option is amputation.
“I was able to slightly walk, although the disease had eaten all my toes,” Lokonyi, 28, told AFP.
She was shunned by the local community, she said.
“They used to say that when you go to someone’s home, you will leave traces of the disease where you stand.”
She was unable to afford medication despite her husband selling off his goats, and amputation became the only option.
“I accepted because I saw that it was going to kill me,” she said, a pair of battered crutches lying on the sand beside her two-year-old daughter.
But she has struggled with the aftermath.
“I have become a good-for-nothing, I can’t work, I can’t burn charcoal, I can’t do anything,” she said.
In Kenya’s poorest county, Turkana, around 70 percent of the population lives beneath the poverty line, with health care limited and hard to reach.
Mycetoma disproportionately affects rural communities of farmers and herders, according to the Drugs for Neglected Diseases initiative , a global NGO.
It was only recognized as a neglected disease by the World Health Organization in 2016. Ignorance and misdiagnosis remain widespread.
“Doctors are not aware of the disease,” Borna Nyaoke-Anoke, DNDi’s head of mycetoma research, told AFP.
“If you’re used to donkeys, you don’t start seeing zebras everywhere.”
The scale of the problem is difficult to estimate, but Ekiru Kidalio, director of Lodwar Hospital in Turkana, said they “rarely go a week without finding a case.”
He added that the local population, 80 percent of which is illiterate, often turns to traditional medicine.
By the time they come to hospital “the condition is already advanced such that it’s not easy to reverse.”
Medication is also expensive — treatment takes up to a year and costs as much as $2,000 — and comes with dizzying side effects.
Diagnosis and treatment are not free under Kenya’s overwhelmed health system, leaving patients at the mercy of foreign donors or seeking sums that are unimaginable for subsistence farmers.
In Lodwar Hospital, lab technician John Ekai bends over his microscope and examines a suspected mycetoma sample.
“Mycetoma is a very neglected disease, no-one is giving it attention,” he told AFP.
He has become the go-to man for suspected patients, handling his charges with a mischievous sense of humor that puts them at ease.
Ekai has treated more than 100 mycetoma patients in the past year, but has seen only five recoveries, with many simply vanishing back into Turkana’s arid plains.
He worries for those who have disappeared: “The mycetoma will grow and grow and maybe... lead to amputation.”
During AFP’s visit, he examined young mother Jennifer Ekal, 19, who had lived with the disease since she was 11.
“I was in school but I decided to leave because of my foot,” she said, showing her swollen and painful extremity, hidden beneath a red-and-white dishcloth.
Four doses of medication a day appeared to be helping, she said.
But as she gathered up her daughter, three-year-old Bianca, she admitted she was worried about the future.
“I do not want to think about the worst.”
Rare bone-eroding disease ruining lives in Kenya’s poorest county
https://arab.news/rhytv
Rare bone-eroding disease ruining lives in Kenya’s poorest county
US intercepts fifth sanctioned tanker as it exerts control over Venezuelan oil distribution
WASHINGTON: US forces boarded another oil tanker in the Caribbean Sea on Friday, the US military said, as the Trump administration targets sanctioned tankers traveling to and from Venezuela as part of a broader effort to take control of the South American country’s oil.
The predawn raid was carried out by Marines and Navy sailors launched from the aircraft carrier USS Gerald R. Ford, part of the extensive force the US has built up in the Caribbean in recent months, according to US Southern Command, which declared “there is no safe haven for criminals” as it announced the seizure of the tanker called the Olina. The Coast Guard then took control of the vessel, officials said.
Southern Command and Homeland Security Secretary Kristi Noem both posted unclassified footage on social media Friday morning of a US helicopter landing on the vessel and US personnel conducting a search of the deck and tossing what appeared to be an explosive device in front of a door leading to inside the ship.
In her post, Noem said the ship was “another ‘ghost fleet’ tanker ship suspected of carrying embargoed oil” and it had departed Venezuela “attempting to evade US forces.”
The Olina is the fifth tanker that has been seized by US forces as part of the effort by President Donald Trump’s administration to control the production, refining and global distribution of Venezuela’s oil products, and the third since the US ouster of Venezuela President Nicolás Maduro in a surprise nighttime raid.
In a post on his social media network later in the day, Trump said the seizure was conducted “in coordination with the Interim Authorities of Venezuela” but offered no elaboration.
The White House did not immediately respond to requests for more details.
Venezuela’s government acknowledged in a statement that it was working with US authorities to return the tanker, “which set sail without payment or authorization from the Venezuelan authorities,” to the South American nation.
“Thanks to this first successful joint operation, the ship is sailing back to Venezuelan waters for its protection and relevant actions,” according to the statement.
Samir Madani, co-founder of TankerTrackers.com, said his organization used satellite imagery and surface-level photos to document that at least 16 tankers left the Venezuelan coast in contravention of the quarantine US forces have set up to block sanctioned ships from conducting trade. The Olina was among that flotilla.
US government records show that the Olina was sanctioned for moving Russian oil under its prior name, Minerva M, and flagged in Panama.
While records show the Olina is now flying the flag of Timor-Leste, it is listed in the international shipping registry as having a false flag, meaning the registration it is claiming is not valid. In July, the owner and manager of the ship on its registration was changed to a company in Hong Kong.
According to ship tracking databases, the Olina last transmitted its location in November in the Caribbean, north of the Venezuelan coast. Since then, however, the ship has been running dark with its location beacon turned off.
While Noem and the military framed the seizure as part of an effort to enforce the law, other officials in the Trump administration have made clear they see it as a way to generate cash as they seek to rebuild Venezuela’s battered oil industry and restore its economy.
In an early morning social media post, Trump said the US and Venezuela “are working well together, especially as it pertains to rebuilding, in a much bigger, better, and more modern form, their oil and gas infrastructure.”
The administration said it expects to sell 30 million to 50 million barrels of sanctioned Venezuelan oil, with the proceeds to go to both the US and Venezuelan people. But the president expects the arrangement to continue indefinitely. He met Friday with executives from oil companies to discuss his goal of investing $100 billion in Venezuela to repair and upgrade its oil production and distribution.
Vice President JD Vance told Fox News this week that the US can “control” Venezuela’s “purse strings” by dictating where its oil can be sold.
Madani estimated that the Olina is loaded with 707,000 barrels of oil, which at the current market price of about $60 a barrel would be worth more than $42 million.
